Individual provider Active NPI

Kurtis James Rivera, MAFP, MA, LPC, CAS

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1609241751
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0022453 Issued in CO
Practice address
635 W Corona Ave Ste 200
Pueblo, CO 81004-1210
Phone
(719) 299-0824
NPI assigned
Dec 1, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0022453 CO Primary

Addresses

Primary practice location

635 W Corona Ave Ste 200
Pueblo, CO 81004-1210

Mailing address

635 W Corona Ave Ste 200
Pueblo, CO 81004-1210
Phone (719) 299-0824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717004371 CO Practitioner - Mental Health Counselor 4789190745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Higher Sights CounselingGroup PAC ID 1153747613, 38 clinicians

Practice addresses (Care Compare)

5353 W Dartmouth Ave
Suite 305
Denver, CO 80227-5517
Phone (720) 943-7050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Tranquil Journey Therapy PLLC Mental Health Current Accepting new patients
Higher Sights Counseling Mental Health CurrentSince Jul 8, 2025 Accepting new patients

Locations

5353 W Dartmouth Ave
Ste 305
Lakewood, CO 80227
Phone (720) 943-7050

635 W Corona Ave
Ste 200
Pueblo, CO 81004
Phone (719) 299-0824

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1609241751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "719-299-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W CORONA AVE STE 200",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041210",
            "telephone_number": "719-299-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KURTIS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MAFP, MA, LPC, CAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-01",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0022453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.